Question 1

The major source of nutrients in the diet of a pregnant woman should be composed of

Accepted Answer

A)   simple sugars.
B)   fats.
C)   fiber.
D)   complex carbohydrates. D

Question 2

The nurse working with pregnant women understands that anorexia and bulimia are associated with which conditions in the newborn? (Select all that apply.)

Accepted Answer

A)   Food cravings
B)   Low birth weight
C)   Food aversions
D)   Electrolyte imbalance
E)   Small for gestational age infants B,D,E

Question 3

A pregnant woman's diet consists almost entirely of whole grain breads and cereals,fruits,and vegetables.The nurse should be most concerned about this woman's intake of which nutrient?

Accepted Answer

A)   Calcium
B)   Protein
C)   Vitamin B12
D)   Folic acid C

Question 4

Which pregnant adolescent is most at risk for a nutritional deficit during pregnancy?

Accepted Answer

A)   A 15-year-old of normal height and weight
B)   A 17-year-old who is 10 pounds underweight
C)   A 16-year-old who is 10 pounds overweight
D)   A 16-year-old of normal height and weight

Question 5

Which statement by a patient indicates that she understands the role of protein in her pregnancy?

Accepted Answer

A)   "Protein will help my baby grow."
B)   "Eating protein will prevent me from becoming anemic."
C)   "Eating protein will make my baby have strong teeth after he is born."
D)   "Eating protein will prevent me from being diabetic."

Question 6

The nurse is counseling a woman in her third trimester about eating enough protein.If the woman already gets her non-pregnant RDA of protein,how much more does she need in her diet?

Accepted Answer

A)   5 grams/day
B)   10 grams/day
C)   25 grams/day
D)   30 grams/day

Question 7

A pregnant woman in the perinatal clinic is a recovering anorexic.She is distressed at the emphasis on weight gain.The nurse explains that the most important reason for evaluating the pattern of weight gain in pregnancy is to

Accepted Answer

A)   prevent excessive adipose tissue deposits.
B)   identify potential nutritional problems or complications of pregnancy.
C)   assess if this woman has relapsed.
D)   determine cultural influences on the woman's diet.

Question 8

To prevent GI upset,patients should be instructed to take iron supplements

Accepted Answer

A)   on a full stomach.
B)   at bedtime.
C)   after eating a meal.
D)   with milk.

Question 9

The traditional diet of Asian women includes little meat or dairy products and may be low in calcium and iron.The nurse can help the woman increase her intake of these foods by

Accepted Answer

A)   emphasizing the need for increased milk intake during pregnancy.
B)   suggesting she eat more "hot" foods during pregnancy.
C)   telling her husband that she must increase her intake of fruits and vegetables for the baby's sake.
D)   suggesting she eat more tofu, bok choy, and broccoli.

Question 10

A pregnant woman is at a picnic and asks a friend of hers,who is a nurse,what foods she can eat.What response by the nurse is best?

Accepted Answer

A)   Bologna sandwich
B)   Hot dog
C)   Smoked salmon spread
D)   Cheddar cheese and crackers

Question 11

A lactating woman tells the nurse she is glad to no longer have to follow specific dietary recommendations,now that her baby has been born.The nurse responds by teaching her that lactating women have an even greater need for which nutrients? (Select all that apply.)

Accepted Answer

A)   Vitamin A
B)   Vitamin D
C)   Folic acid
D)   Iron
E)   Iodine

Question 12

The nurse explains to the expectant mother that which vitamin or mineral can lead to congenital malformations of the fetus if taken in excess by the mother?

Accepted Answer

A)   Zinc
B)   Vitamin D
C)   Folic acid
D)   Vitamin A

Question 13

The nurse is teaching a pregnant woman to reduce her intake of sodium.What products does the nurse teach the woman to avoid? (Select all that apply.)

Accepted Answer

A)   Products with the word "soda" in the ingredients
B)   Packaged gravy mixes
C)   Mayonnaise
D)   Cake mixes
E)   Fruit juices

Question 14

When assessing cultural influences on a pregnant woman's diet,which actions by the nurse are best? (Select all that apply.)

Accepted Answer

A)   Learn about traditional foods in that culture.
B)   Ask the woman how she prepares food.
C)   Determine if there are specific "pregnancy" foods.
D)   Assess how traditional the woman is.
E)   Find out what support she has locally.

Question 15

In teaching the pregnant adolescent about nutrition,what suggestion by the nurse is best?

Accepted Answer

A)   Eliminate common teen snack foods, because they are too high in fat and sodium.
B)   Work with the teen to include some fast food in a healthy prenatal diet.
C)   Suggest that she not eat at fast-food restaurants where the foods are of poor nutritional value.
D)   Realize that most adolescents are unwilling to make dietary changes during pregnancy.

Question 16

A pregnant patient would like to know a good food source of calcium other than dairy products.Which answer by the nurse is best?

Accepted Answer

A)   Legumes
B)   Yellow vegetables
C)   Lean meat
D)   Whole grains

Question 17

A patient who is in week 28 of gestation is concerned about her weight gain of 1 pound in 1 week.Which response by the nurse is best?

Accepted Answer

A)   "You should try to decrease your amount of weight gain for the next 12 weeks."
B)   "You have gained an appropriate amount for the number of weeks of your pregnancy."
C)   "You should not gain any more weight until you reach the third trimester."
D)   "You have not gained enough weight for the number of weeks of your pregnancy."

Question 18

Which nutritional recommendation about fluids is accurate?

Accepted Answer

A)   A woman's daily intake should be 8 to 10 cups, and most of it should be water.
B)   Coffee should be limited to no more than 2 cups, but tea and cocoa can be consumed without worry.
C)   Of the artificial sweeteners, only aspartame has not been associated with any maternity health concerns.
D)   Water with fluoride is especially encouraged because it reduces the child's risk of tooth decay.

Question 19

The nurse teaches a pregnant woman that one danger in using nonfood supplementation of nutrients is

Accepted Answer

A)   increased absorption of all vitamins.
B)   development of pregnancy-induced hypertension (PIH) .
C)   increased caloric intake.
D)   toxic effects on the fetus.

Question 20

A pregnant woman's diet may not meet her need for folate.The nurse teaches the woman to take how much folate as a supplement each day?

Accepted Answer

A)   100 to 200 mcg
B)   200 to 400 mcg
C)   400 to 600 mcg
D)   400 to 800 mcg

Exam 14: Nutrition for Childbearing